Disparities in Liver Transplantation Before and After Introduction of the MELD Score

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Abstract
The Model for End-Stage Liver Disease (MELD) score has been used by the Organ Procurement and Transplantation Network (OPTN) since February 2002 as the basis for allocation of deceased donor livers for transplantation among adults in the United States.1,2 Its use reflects the Institute of Medicine's recommendations for a system based on objective criteria with less emphasis on waiting time.3